@CrozerEM trained doc. MedTox Fellow 2020-2022 @EinsteinEMed. CrossFitter @CrossFit. Tweets are not medical advice. Thoughts are my own. #FOAMed #FOAMtox
Pennsylvania, USA
Joined January 2017
- Tweets456
- Following1.1K
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- Likes6K
Laura Roper, MD retweeted
got groans of horror from my colleagues after suggesting one of the deadliest poisons was not strychnine but strychTEN
Laura Roper, MD retweeted
• Study hard.
• What others think of you is none of your business.
• It's OK not to have all the answers.
• Experiment, Fail, Learn and Repeat.
• Knowledge comes from experience.
• Imagination is important.
• Do what interests you the most.
• Stay curious.
Laura Roper, MD retweeted
Managing the Sick Asthmatic via @HedayatiMD at #ACOEP20
-EtCO2 > 40 = bad sign
-Early NIV (decreases intubation rate)
- Early IV steroids
-Ketamine 0.4 - 0.5mg/kg IV
-IV Mg2+ 2g over 20min x3 doses
-Epi 0.5mg IM --> push dose 0.5 - 1mL --> start drip at 5mcg/min
-IVF 500-1000mL
Laura Roper, MD retweeted
1/
#HumanismAlways, Day 6
Intern Year
Her: "You okay?"
Me: "Ma'am?"
Her: "Look like you was having a rough time when y'all were in here earlier."
Me: "Oh. That."
She was referring to post call rounds when I was presenting her case to my attending.
It had not gone well.
Laura Roper, MD retweeted
Fantastic table summarizing important pearls & pitfalls in the management of high risk airways, from a must-read paper by @SkylerLentz, Alex Grossman, @EMHighAK and @long_brit
jem-journal.com/article/S073…
Laura Roper, MD retweeted
Why do we miss aortic dissections?
History:
Sudden onset chest (79% type A) or back pain (43% A, 64% B) most common. Ripping, tearing and migratory pain uncommon.
Painless type A in 6.3%
HTN most common risk factor
Good registry data here:
ahajournals.org/doi/full/10.…
#FOAMed
Laura Roper, MD retweeted
A helpful REBEL Review looking at the Canadian Syncope Risk Score.
Remember that like every tool in medicine, appropriate clinical judgement and application is required. Dont blindly follow any scoring tool.
#FOAMed #FOAMcc @TeamVenk @WeAreCanadiEM @CAEP_Docs @EMSwami @srrezaie
Laura Roper, MD retweeted
Interleaving weaves together different yet related topics for studying across time.
The increased cognitive interference associated with interleaving of multiple topics simultaneously has been shown to improve comprehension, retention and test outcomes.
buff.ly/32sp60y
Laura Roper, MD retweeted
Happy that I got to collaborate with @dkalnow with Amber and @patricia_capone as newcomers for the article “Podcasting in Medicine: The Current Content by Emergency Medicine Subspecialty”
cureus.com/articles/38773-po…
#MedTwitter #FOAMed #podcasting
Laura Roper, MD retweeted
Adding brorphine, a designer opioid, to our mass spec library. It's definitely in the midwest, and will be here soon if not already here.
@ToxAndHound @MedToxFellowshp
Laura Roper, MD retweeted
I don't know who needs to hear this, but your partner goes through your residency too.
Laura Roper, MD retweeted
As a new attending/fellow I find it hard to find time to write down all the learning pearls during a shift. Post shift though I can jot some stuff down and send it to the resident. I present to you, post shift learning pearls! @StJoesEM
Vertigo
HINTS
Hyponatremia seizure
PUD
Appreciate the advice on this thread. I’ve been there. I was fortunate enough to also have mentors that care about me to give me feedback.
13/
Anyways.
If you remember nothing I said, when it comes to emails and texts remember this:
Big ask? Have a conversation.
Big concern? Have a conversation.
Big mad? Wait it out.
Because written word wars seldom end well.
Nor do they ever stay in one place.
#teamgivers
"Be forgiving with your past self.
Be strict with your present self.
Be flexible with your future self."
–@JamesClear
